TIMOTHY MATTHEW MILLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

MATTHEW

Last Name

MILLER

Business Name

TIMOTHY MATTHEW MILLER MD

Original Issue Date

02/08/2021

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CLAYTON

State

Zip

63105

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023